Organization
ERGOCARE CLINIC PLLC
Active
Other names
ERGOCARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PAUL CLEMENS DMSC, PA-C (GOVERNOR)
(360) 634-8949
Entity
Organization
Contact information
Practice address
3624 ENSIGN RD NE STE F, OLYMPIA, WA 98506-5114
(360) 634-8949
(360) 634-8234
Mailing address
PO BOX 5430, LACEY, WA 98509-5430
(360) 634-8949
(360) 634-8234
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/24/2021
Last updated
08/17/2026
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